| Doctor Name: | DR. DOUGLAS EDWIN HERITAGE |
| NPI Number: | 1467416305 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D.09 |
| License Number: | 0101027756 |
| Business Practice Address: | 2026a Opitz Blvd Woodbridge, VA - 221913306 |
| Business Phone Number: | 7034917155 |
| Business Fax Number: | 7036903958 |
| Mailing Address: | 2026a Opitz Blvd, WOODBRIDGE |
| State: | VA |
| Postal Code: | 221913306 |
| Phone Number: | 7034917155 |
| Fax Number: | 7036903958 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 0101027756 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |